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VaricellaPhase 3NCT03239873

Evaluation of Immunogenicity and Safety of VARIVAX® Passage Extension 34 (PE34) Process in Children (V210-A03)

A Phase 3 study testing VARIVAX® PE34 Process, VARIVAX® 2016 Commercial Process and M-M-R II® in people with Varicella, run by Merck Sharp & Dohme LLC at 37 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will evaluate the immunogenicity, safety, and tolerability of VARIVAX® (Varicella Virus Vaccine Live) manufactured with a new passage extension (PE34) process compared with the VARIVAX® 2016 commercial process. Read more about this study

Who is it for?
Ages 12 to 23 monthsHealthy volunteers can take part
Conditions the study is for
Varicella
What is being tested?
VARIVAX® PE34 Process, VARIVAX® 2016 Commercial Process and M-M-R II®
Could I receive a placebo?
No, everyone receives an active treatment
How many people
600 participants
Where
37 sitesUnited States
Study dates
17 Oct 2017to 2 Apr 2019
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 to 23 months
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Negative clinical history for varicella, herpes zoster, measles, mumps, and rubella

Who cannot join

  • Received any measles, mumps, rubella, or varicella vaccine at any time prior to the study, or is anticipated to receive any of these vaccines outside the study
  • Any congenital or acquired immune deficiency, neoplastic disease, or depressed immunity
  • Received systemic immunomodulatory steroids within 3 months prior to entering the study or is expected to receive them during the course of the study
  • History of allergy or anaphylactic reaction to neomycin, gelatin, sorbitol, egg proteins, chicken proteins, or any component of VARIVAX® or M-M-R II®
  • Has any blood dyscrasias, leukemia, lymphoma, or other malignant neoplasm affecting the bone marrow or lymphatic systems
  • Received salicylates within 14 days prior to study vaccination
Show all 14Show fewer
  • Exposed to varicella, herpes zoster, measles, mumps, or rubella in the 4 weeks prior to study vaccination
  • Received immune globulin, a blood transfusion, or blood-derived products within 5 months prior to study vaccination
  • History of seizure disorder, including febrile seizure
  • Fever illness (>=102.2 °F [39.0 °C] within 72 hours prior to study vaccination
  • History of thrombocytopenia
  • Born to a human immunodeficiency virus (HIV)-infected mother
  • Has a diagnosis of active untreated tuberculosis
  • Participated in any other clinical trial (other than a surveillance study) within 30 days prior to study enrollment.

Trial locations and contacts

37 sites in 1 country.

37 sites in 1 country

United States37 sites
  • Southland Clinical Research Center ( Site 0017)

    Anaheim, California, 92804

  • Heartland Research Associates, LLC ( Site 0029)

    Augusta, Kansas, 67010

  • Benchmark Research ( Site 0005)

    Austin, Texas, 78705

  • Kentucky Pediatric/Adult Research Inc ( Site 0012)

    Bardstown, Kentucky, 40004

  • Alabama Clinical Therapeutics ( Site 0018)

    Birmingham, Alabama, 35205

  • Blue Ridge Pediatric & Adolescent Medicine ( Site 0001)

    Boone, North Carolina, 28607

  • Palmetto Pediatrics, PA ( Site 0023)

    Charleston, South Carolina, 29406

  • Coastal Pediatric Research ( Site 0006)

    Charleston, South Carolina, 29414

  • Pediatric Research of Charlottesville, LLC ( Site 0039)

    Charlottesville, Virginia, 22902

  • Senders Pediatrics ( Site 0034)

    Cleveland, Ohio, 44121

  • Ohio Pediatric Research Association ( Site 0035)

    Dayton, Ohio, 45414

  • Premier Health Research Center, LLC ( Site 0044)

    Downey, California, 90240

  • Child Health Care Associates ( Site 0045)

    East Syracuse, New York, 13057

  • University of Texas Medical Branch at Galveston ( Site 0032)

    Galveston, Texas, 77555

  • ACC Pediatric Research ( Site 0041)

    Haughton, Louisiana, 71037

  • Kid's Way Pediatrics ( Site 0047)

    Hermitage, Pennsylvania, 16148

  • West Houston Clinical Research Services ( Site 0009)

    Houston, Texas, 77055

  • Children's Clinic of Jonesboro, PA ( Site 0030)

    Jonesboro, Arkansas, 72401

  • The Center For Pharmaceutical Research PC ( Site 0011)

    Kansas City, Missouri, 64114

  • Holston Medical Group Pediatrics ( Site 0024)

    Kingsport, Tennessee, 37660

  • Children's Research at Altamonte Pediatric Associates ( Site 0040)

    Lake Mary, Florida, 32746

  • Tanner Clinic ( Site 0010)

    Layton, Utah, 84041

  • University of Louisville: Pediatric Clinical Trials Unit ( Site 0025)

    Louisville, Kentucky, 40202

  • Advanced Clinical Research ( Site 0038)

    Meridian, Idaho, 83642

  • Heartland Research Associates, LLC ( Site 0015)

    Newton, Kansas, 67114

  • Wee Care Pediatrics-Roy ( Site 0043)

    Roy, Utah, 84067

  • J Lewis Research Inc / Foothill Family Clinic ( Site 0016)

    Salt Lake City, Utah, 84109

  • J Lewis Research Inc/Foothill Family Clinic South ( Site 0004)

    Salt Lake City, Utah, 84121

  • California Research Foundation ( Site 0003)

    San Diego, California, 92123

  • J Lewis Research Inc/Jordan River Family Medicine ( Site 0019)

    South Jordan, Utah, 84095

  • Wee Care Pediatrics ( Site 0036)

    Syracuse, Utah, 84075

  • University of South Florida ( Site 0042)

    Tampa, Florida, 33606

  • IMMUNOe Research Centers ( Site 0046)

    Thornton, Colorado, 80233

  • Pediatric Healthcare of Northwest Houston ( Site 0027)

    Tomball, Texas, 77375

  • Cotton O'Neil Research Center ( Site 0014)

    Topeka, Kansas, 66604

  • Advanced Clinical Research ( Site 0020)

    West Jordan, Utah, 84088

  • Ford, Simpson, Lively & Rice Pediatrics, PLLC ( Site 0037)

    Winston-Salem, North Carolina, 27103

Other trials in United States

About this study

Official title: A Phase 3, Double-Blind, Randomized, Multicenter, Controlled Study to Evaluate the Immunogenicity, Safety, and Tolerability of VARIVAX™ Passage Extension 34 (PE34) Process Administered Concomitantly With M-M-R™ II

This study will evaluate the immunogenicity, safety, and tolerability of VARIVAX® (Varicella Virus Vaccine Live) manufactured with a new passage extension (PE34) process compared with the VARIVAX® 2016 commercial process. The primary hypotheses being tested are that antibody response rate and mean antibody titer induced at 6 weeks after a single vaccination by VARIVAX® PE34 Process are non-inferior to those induced by VARIVAX® 2016 commercial process, and that antibody response rate induced by VARIVAX® PE34 Process is acceptable.

Conditions
Varicella
Being tested
VARIVAX® PE34 Process, VARIVAX® 2016 Commercial Process, M-M-R II®
Medical subject headings
Chickenpox

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • VARIVAX® PE34 ProcessBiological

    Varicella virus vaccine live manufactured with a new passage extension process (PE34)

  • VARIVAX® 2016 Commercial ProcessBiological

    Varicella virus vaccine live manufactured with the 2016 commercial process

  • M-M-R II®Biological

    Measles, Mumps, and Rubella virus vaccine live

Study groups in NCT03239873
Study groupRoleWhat they receive
VARIVAX® PE34 Process + Measles, Mumps, Rubella (M-M-R) II®ExperimentalVARIVAX® Passage Extension (PE34) Process vaccine 0.5 mL administered in the left arm or thigh and M-M-R II® vaccine 0.5 mL administered in the right arm or thigh by subcutaneous injection on Day 1 and Day 91
Receives: Biological: VARIVAX® PE34 Process; Biological: M-M-R II®
VARIVAX® 2016 Commercial Process + M-M-R II®Active comparatorVARIVAX® 2016 Commercial Process vaccine 0.5 mL administered in the left arm or thigh and M-M-R II® vaccine 0.5 mL administered in the right arm or thigh by subcutaneous injection on Day 1 and Day 91
Receives: Biological: VARIVAX® 2016 Commercial Process; Biological: M-M-R II®

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With Varicella Zoster Virus Antibody Levels ≥5 Glycoprotein Enzyme-linked Immunosorbent Assay (gpELISA) Units/mL

    The varicella zoster virus (VZV) antibody response rate was defined as the percentage of participants with VZV antibody titer ≥5 glycoprotein enzyme-linked immunosorbent assay (gpELISA) units/mL among participants who were seronegative to VZV (titers <1.25 gpELISA units/mL) at baseline.

    Measured: 6 weeks (43 days) after vaccination 1

  2. Geometric Mean Titer of VZV Antibodies

    The geometric mean titer (GMT) of VZV antibodies after vaccination 1 was assessed. Antibody titers were measured with gpELISA.

    Measured: 6 weeks (43 days) after vaccination 1

Secondary outcomes (18)
  1. Percentage of Participants With Fever (≥102.2 °F Oral Equivalent)

    The percentage of participants with fever ≥102.2 °F oral equivalent for Day 1 through Day 42 after vaccination 1 and Day 1 through Day 42 after vaccination 2 was reported.

    Measured: Up to 42 days after vaccination 1; Up to 42 days after vaccination 2

  2. Percentage of Participants With Systemic Measles-like, Rubella-like, Varicella-like, Zoster-like Rash, and Mumps-like Symptoms After Vaccination 1 (Incidence > 0%)

    The percentage of participants with measles-like, rubella-like, varicella-like, zoster-like rash, and mumps-like symptoms after vaccination 1 was assessed. A specific adverse event was reported only if its incidence was >0% in one or more vaccination groups after rounding.

    Measured: Up to 42 days after vaccination 1

  3. Percentage of Participants With Systemic Measles-like, Rubella-like, Varicella-like, Zoster-like Rash, and Mumps-like Symptoms After Vaccination 2 (Incidence > 0%)

    The percentage of participants with measles-like, rubella-like, varicella-like, zoster-like rash, and mumps-like symptoms after vaccination 2 was assessed. A specific adverse event was reported only if its incidence was >0% in one or more vaccination groups after rounding.

    Measured: Up to 42 days after vaccination 2

  4. Percentage of Participants With Solicited Injection-site Erythema, Injection-site Swelling, or Injection-site Pain/Tenderness After Vaccination 1

    The percentage of participants with solicited (on a Vaccine Report Card) injection-site erythema, injection-site swelling, or injection-site pain/tenderness was assessed.

    Measured: Up to 5 days after vaccination 1

  5. Percentage of Participants With Solicited Injection-site Erythema, Injection-site Swelling, and Injection-site Pain/Tenderness After Vaccination 2

    The percentage of participants with solicited (Vaccine Report Card) injection-site erythema, injection-site swelling, and injection-site pain/tenderness was assessed.

    Measured: Up to 5 days after vaccination 2

  6. Percentage of Participants With One or More Adverse Events

    An adverse event (AE) is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product or protocol - specified procedure, whether or not considered related to the medicinal product or protocol - specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an AE. The percentage of participants with one or more adverse events for Day 1 through Day 42 after vaccination 1 and Day 1 through Day 42 after vaccination 2 was reported.

    Measured: Up to 42 days after vaccination 1 and up to 42 days after vaccination 2

  7. Percentage of Participants With One or More Serious Adverse Events

    A serious adverse event (SAE) is defined as an adverse event that resulted in death, was life threatening, resulted in persistent or significant disability or incapacity, resulted in or prolonged a hospitalization, is a congenital anomaly or birth defect, is a cancer, was an overdose, or was an important medical event based on appropriate medical judgment. The percentage of participants with one or more SAEs ~180 days after vaccination 2 was reported.

    Measured: Up to ~180 days after vaccination 2 (Up to ~285 days)

  8. Percentage of Participants With One or More Vaccine-Related Adverse Events

    The percentage of participants with one or more vaccine-related adverse events for Day 1 through Day 42 after vaccination 1 and Day 1 through Day 42 after vaccination 2 was reported.

    Measured: Up to 42 days after vaccination 1 and up to 42 days after vaccination 2

  9. Percentage of Participants With One or More Systemic Adverse Events After Vaccination 1 (Incidence ≥ 4)

    All systemic adverse events were recorded on an electronic vaccination report card (eVRC) for Day 1 through Day 42 after vaccination 1. The percentage of participants with one or more systemic adverse events (incidence ≥4 participants in one or more of the vaccination groups) was reported.

    Measured: Up to 42 days after vaccination 1

  10. Percentage of Participants With One or More Systemic Adverse Events After Vaccination 2 (Incidence > 0)

    All systemic adverse events were recorded on an electronic vaccination report card (eVRC) for Day 1 through Day 42 after vaccination 2. The percentage of participants with one or more systemic adverse events was assessed. A specific adverse event was reported only if its incidence was >0% in one or more vaccination groups after rounding.

    Measured: Up to 42 days after vaccination 2

  11. Percentage of Participants With Immunogenicity to Varicella Zoster Virus in Participants Initially Seropositive to Varicella Zoster Virus Antibody (≥ 5gpELISA Units/mL)

    The percentage of participants with seropositive antibody titer (≥1.25gpELISA units/mL) at baseline and postvaccination serology contributing to the per-protocol analysis was assessed. Confidence interval is calculated if there are at least 5 subjects who are seropositive. Antibody titers were assessed using gpELISA.

    Measured: 6 weeks (~43 days) after vaccination 1

  12. Geometric Mean Fold Rise From Baseline in Varicella Zoster Virus Antibody Titer in Participants Initially Seropositive to Varicella Zoster Virus Antibody

    Blood samples were taken at pre-vaccination (baseline) and approximately 43 days after vaccination 1 to determine the geometric mean titer (GMT) of VZV antibodies via gpELISA. The geometric mean fold rise (GMFR) was calculated as GMT post vaccination 1/GMT pre-vaccination (baseline). Confidence interval is calculated if there are at least 5 subjects who are seropositive.

    Measured: Baseline and 6 weeks (~43 days) after vaccination 1

  13. Percentage of Participants With a ≥4-fold Rise From Baseline in Varicella Zoster Virus Antibody Titers in Participants Initially Seropositive to Varicella Zoster Virus Antibody

    The percentage of participants with a geometric mean ≥4-fold rise from baseline of ≥1.25gpELISA units/mL in VZV antibody titer at approximately 43 days after vaccination 1 was assessed.

    Measured: Baseline and 6 weeks (~43 days) after vaccination 1

  14. Percentage of Participants With One or More Vaccine-Related Serious Adverse Events

    The percentage of participants with one or more vaccine-related serious adverse events up to ~180 days after vaccination 2 was reported. The study investigator determines whether the serious adverse event is related to the vaccine.

    Measured: Up to ~180 days after vaccination 2

  15. Percentage of Participants Who Discontinued From the Study Due to an Adverse Event

    The percentage of participants discontinued from the study due to an adverse event for Day 1 through Day 42 after vaccination 1 and Day 1 through Day 42 after vaccination 2 was reported.

    Measured: Up to 42 days after vaccination 1 and up to 42 days after vaccination 2

  16. Percentage of Participants With One or More Unsolicited Injection-Site Adverse Events After Vaccination 1 (Incidence > 0%)

    The percentage of participants with unsolicited injection-site adverse events (or AEs not superficially listed on eVRC) for Day 1 through Day 42 after vaccination 1 was assessed. A specific adverse event was reported only if its incidence was >0% in one or more vaccination groups after rounding.

    Measured: Up to 42 days after vaccination 1

  17. Percentage of Participants With One or More Unsolicited Injection-Site Adverse Events After Vaccination 2 (Incidence > 0%)

    The percentage of participants with unsolicited injection-site adverse events (or AEs not superficially listed on eVRC) for Day 1 through Day 42 after vaccination 2 was assessed. A specific adverse event was reported only if its incidence was >0% in one or more vaccination groups after rounding.

    Measured: Up to 42 days after vaccination 2

  18. Percentage of Participants With Medically-Attended Adverse Events (Incidence ≥5%)

    The percentage of participants with medically-attended AEs up to ~180 days after vaccination 2 that did not meet the definition of serious adverse event (incidence ≥5% in one or more vaccination groups) was reported.

    Measured: Up to ~180 days after vaccination 2 (Up to ~285 days)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Aug 2017
  2. Study start17 Oct 2017
  3. Primary completion14 Aug 2018
  4. Study completion2 Apr 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
600 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03239873
Sponsor's protocol ID
V210-A03
Other IDs
V210-A03, 2017-001910-27, 2017
Status last verified
Jan 2021
First submitted
1 Aug 2017
Last updated
27 Jan 2021
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf

Publications

  • Silas PE, Zissman EN, Gardner J, Helian S, Lee AW, Platt HL. A double-blind, randomized, multicenter, controlled study to evaluate the immunogenicity, safety, and tolerability of varicella vaccine (VARIVAX) passage extension 34 (PE34) process administered concomitantly with measles, mumps, and rubella vaccine (M-M-R II). Hum Vaccin Immunother. 2020 Nov 1;16(11):2634-2640. doi: 10.1080/21645515.2020.1743122. Epub 2020 May 19.

    PubMed 32429738

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing VARIVAX® PE34 Process, VARIVAX® 2016 Commercial Process and M-M-R II® in people with Varicella, run by Merck Sharp & Dohme LLC at 37 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 37 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 26 Aug 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants With Varicella Zoster Virus Antibody Levels ≥5 Glycoprotein Enzyme-linked Immunosorbent Assay (gpELISA) Units/mL (time frame: 6 weeks (43 days) after vaccination 1). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03239873, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Jan 2021.

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